Ohio Cvs Stores LLC

NPI #1174627996 in Avon, Ohio

Provider Information

NPI Number: 1174627996
Entity Type: Organization
Organization Name: Ohio Cvs Stores LLC
Primary Specialty: Pharmacy
Enumeration Date: Sep 12, 2006
Last Updated: Mar 8, 2012

Practice Location

Address: 36008 DETROIT RD
City: Avon
State: Ohio
ZIP Code: 44011-1603
Phone: (440) 397-4027

Authorized Official

Name: SUSAN COLBERT
Title: DIRECTOR, MANAGED CARE ADMIN
Phone: (401) 770-2751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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